Role & responsibilities

- Lead and manage the day-to-day activities of the Payment Posting team.
- Provide end-to-end knowledge and expertise in US healthcare payment posting and Revenue Cycle Management (RCM) processes.
- Ensure accurate and timely posting of insurance and patient payments, adjustments, denials, and contractual allowances.
- Review and analyze EOBs/ERAs to ensure payments, adjustments, denials, and patient responsibility amounts are posted accurately.
- Handle and guide the team on complex and high-value accounts, including payment discrepancies, unidentified payments, and posting exceptions.
- Ensure timely resolution of unposted, misposted, underposted, and unidentified payments.
- Monitor daily payment posting volumes, pending work, productivity, and turnaround time to ensure operational targets are met.
- Identify and resolve payment variances, contractual discrepancies, overpayments, underpayments, and posting errors.
- Ensure accurate understanding and application of CMS-1500 and UB-04 claim forms and their relationship to payment processing.
- Maintain strong knowledge of payer-specific payment policies, reimbursement guidelines, EOB/ERA formats, adjustment codes, denial codes, and patient responsibility.
- Review account notes and ensure accurate and complete documentation of payment posting activities and exceptions.
- Coordinate with AR, Denial Management,



Billing, and other RCM teams to resolve payment-related issues and ensure accurate account balances.
- Track team productivity, quality, accuracy, turnaround time, and other key payment posting metrics.
- Conduct regular performance reviews, provide coaching, and support team members in achieving operational and quality targets.
- Identify training gaps and provide process training, refresher sessions, and on-the-job coaching.
- Perform regular quality audits to identify recurring errors and implement corrective actions to improve payment posting accuracy and efficiency.
- Analyze payment posting trends and identify opportunities to improve processes, reduce errors, and strengthen overall revenue cycle performance.
- Escalate complex payment issues and payer-related discrepancies to the appropriate internal teams or management for resolution.
- Ensure compliance with client-specific processes, HIPAA requirements, and organizational quality standards.

Preferred candidate profile

- Minimum 6+ Years of experience into Payment Posting/Charge Entry(Non Voice Process)
- And minimum 1 year as Team Lead on Papers
- Valuable Communication Skills
- Immediate Joiners

Perks & Benefits

- 5 days working(Monday - Friday)
- Morning Shifts: 8:30 PM - 5:30 PM
- 2 days fixed week off

📌 Team Lead Payment Posting/Charge Entry (Hyderabad)
🏢 Talentboon Consulting
📍 Hyderabad